Premature ejaculation is the most common problem among male sexual dysfunctions. In general terms, it is defined as a persistent and recurrent pattern of ejaculating sooner than desired—either immediately after sexual stimulation begins, before penetration, or shortly after penetration—causing distress for the individual and their partner.
To establish measurable criteria for this issue, some clinicians have evaluated the time between vaginal penetration and ejaculation, while others have considered the number of thrusts before orgasm. Masters and Johnson diagnosed premature ejaculation in men who ejaculated before their partner’s orgasm in more than 50% of sexual encounters. Kaplan’s definition, on the other hand, describes it as a man being unable to voluntarily control ejaculation, reaching climax earlier than he intends.
Clients often describe the condition with expressions such as: “I ejaculate before entering or after just a few movements,” “I can’t control myself when the moment comes,” “It feels like I’m about to ejaculate at any second,” or “Everything happens so fast that I don’t understand what is going on before it’s over.”
Causes of Premature Ejaculation
Although premature ejaculation may have many causes, based on information gathered from clients, the most frequently observed reasons include:
1.) The man has not learned how to control ejaculation; these individuals generally cannot perceive the signals in their body leading to orgasm and may ejaculate suddenly without understanding what is happening. However, someone who is aware of the bodily cues leading up to orgasm can recognize the “yellow light before the red light,” allowing them to maintain control over the process.
2.) Excessive sensitivity of the penile skin.
3.) Sexual activity performed with performance anxiety and
